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Hemorrhage and Epilepsy in Cryptic Cerebrovascular Malformations

Hemorrhage and Epilepsy in Cryptic Cerebrovascular Malformations Abstract • A series of 15 angiographically cryptic, histologically proved, cerebrovascular malformations occurred. Nine patients were admitted to the hospital with evidence of recent neurological deterioration or onset of headache. Six patients had convulsions. Computed tomographic scan and surgical exploration disclosed a substantial cerebral hematoma in eight instances. The pathological diagnosis was arteriovenous malformation in 11 cases, cavernous angioma in three, and venous angioma in one. Histological evidence of previous microhemorrhage was present in the majority of the specimens, including the patients who had seizures. A change in neurological status or onset of seizures probably indicates recent hemorrhage in cryptic cerebrovascular malformations. References 1. Cohen HCM, Tucker WS, Humphreys RP, et al: Angiographically cryptic histologically verified cerebrovascular malformations . Neurosurgery 1982;10:704-714.Crossref 2. Crawford JV, Russell DS: Cryptic arteriovenous and venous hamartomas of the brain . J Neurol Neurosurg Psychiatry 1956;19:1-11.Crossref 3. McCormick WF, Nofziger JD: ' Cryptic' vascular malformations of the central nervous system . J Neurosurg 1966;24:865-875.Crossref 4. Shuey HM, Day AL, Quisling RG, et al: Angiographically cryptic cerebrovascular malformations . Neurosurgery 1979;5:476-479.Crossref 5. Terao H, Hori T, Matsutani M, et al: Detection of cryptic vascular malformations by computerized tomography . J Neurosurg 1979;51:546-557.Crossref 6. Becker DH, Townsend JJ, Kramer RA, et al: Occult cerebrovascular malformations: A series of 18 histologically verified cases with negative angiography . Brain 1979;102:249-287.Crossref 7. Bell BA, Kendall BE, Symon L: Angiographically occult arteriovenous malformations of the brain . J Neurol Neurosurg Psychiatry 1978;41:1057-1064.Crossref 8. Bitoh S, Hasegawa H, Fujiwara M, et al: Angiographically occult vascular malformations causing intracranial hemorrhage . Surg Neurol 1982;17:35-42.Crossref 9. Britt RH, Connor WS, Enzmann DR: Occult arteriovenous malformation of the brain stem simulating multiple sclerosis . Neurology 1981;31:901-903.Crossref 10. Golden JB, Kramer RA: The angiographically occult cerebrovascular malformation: Report of three cases . J Neurosurg 1978;48:292-296.Crossref 11. Hayman LA, Fox AJ, Evans RA: Effectiveness of contrast regimens in CT detection of vascular malformations of the brain . Am J Neuroradiol 1981;2:421-425. 12. Kramer RA, Wing SD: Computed tomography of angiographically occult cerebral vascular malformations . Radiology 1977;123:649-652.Crossref 13. Leblanc R, Ethier R, Little JR: Computerized tomography findings in arteriovenous malformations of the brain . J Neurosurg 1979;51:765-776.Crossref 14. Leblanc R, Ethier R: The computerized tomographic appearance of angiographically occult arteriovenous malformations of the brain . Can J Neurol Sci 1981;8:7-13. 15. Tindall RSA, Kirkpatrick JB, Sklar F: Multiple small cavernous angiomas of the brain with increased intracranial pressure . Ann Neurol 1978;4:376-378.Crossref 16. Vacquero J, Guillermo L, Martinez R, et al: Cavernomas of the brain . Neurosurgery 1983;12:208-210.Crossref 17. Russell DS, Rubinstein LJ: Pathology of Tumors of the Nervous System , ed 4. London, Edward Arnold Ltd, 1977. 18. Zimmerman RD, Leeds NE, Naidich TP: Ring blush associated with intracerebral hematoma . Radiology 1977;122:707-711.Crossref 19. Graf CJ, Perred GE, Torner JC: Bleeding from cerebral arteriovenous malformations as part of their natural history . J Neurosurg 1983;58:331-337.Crossref 20. Mori K, Murata T, Hashimoto N, et al: Clinical analysis of arteriovenous malformations in children . Childs Brain 1980;6:13-25. 21. Paterson JH, McKissock W: A clinical survey of intracranial angiomas with special reference to their mode of progression and surgical treatment: A report of 110 cases . Brain 1956;79:233-266.Crossref 22. Wilson CB, U HS, Domongue J: Microsurgical treatment of intracranial vascular malformation . J Neurosurg 1979;51:446-454.Crossref 23. Guidetti B, Delitala A: Intracranial arteriovenous malformations: Conservative and surgical treatment . J Neurosurg 1980;53:149-152.Crossref 24. Parkinson D, Bachers G: Arteriovenous malformations: Summary of 100 consecutive supratentorial cases . J Neurosurg 1980;53:285-299.Crossref 25. Perret G, Nishioka H: Report on the cooperative study of intracranial aneurysms and subarachnoid hemorrhage: VI. Arteriovenous malformations . J Neurosurg 1966;25:467-490.Crossref 26. Conforti P: Spontaneous disappearance of cerebral arteriovenous angioma: Case report . J Neurosurg 1971;34:432-434.Crossref 27. Sartor K: Zum spontonverschluss arteriovenoser Missbildungen des Gehires . Nervenarzt 1978;49:34-37. 28. Wharen RE, Scheithauer BW, Laus ER: Thrombosed arteriovenous malformations of the brain: An important entity in the differential diagnosis of intractable focal seizure disorders . J Neurosurg 1982;57:520-526.Crossref 29. Troup M, Marthila I, Halonen V: Arteriovenous malformations of the brain: Prognosis without operation . Acta Neurochir 1970;22:125-128.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

Hemorrhage and Epilepsy in Cryptic Cerebrovascular Malformations

Steiger, Hans Jacob; Tew, John M.
Archives of Neurology , Volume 41 (7) – Jul 1, 1984
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References (33)

Publisher
American Medical Association
Copyright
Copyright © 1984 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1984.04050180044015
Publisher site
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Abstract

Abstract • A series of 15 angiographically cryptic, histologically proved, cerebrovascular malformations occurred. Nine patients were admitted to the hospital with evidence of recent neurological deterioration or onset of headache. Six patients had convulsions. Computed tomographic scan and surgical exploration disclosed a substantial cerebral hematoma in eight instances. The pathological diagnosis was arteriovenous malformation in 11 cases, cavernous angioma in three, and venous angioma in one. Histological evidence of previous microhemorrhage was present in the majority of the specimens, including the patients who had seizures. A change in neurological status or onset of seizures probably indicates recent hemorrhage in cryptic cerebrovascular malformations. References 1. Cohen HCM, Tucker WS, Humphreys RP, et al: Angiographically cryptic histologically verified cerebrovascular malformations . Neurosurgery 1982;10:704-714.Crossref 2. Crawford JV, Russell DS: Cryptic arteriovenous and venous hamartomas of the brain . J Neurol Neurosurg Psychiatry 1956;19:1-11.Crossref 3. McCormick WF, Nofziger JD: ' Cryptic' vascular malformations of the central nervous system . J Neurosurg 1966;24:865-875.Crossref 4. Shuey HM, Day AL, Quisling RG, et al: Angiographically cryptic cerebrovascular malformations . Neurosurgery 1979;5:476-479.Crossref 5. Terao H, Hori T, Matsutani M, et al: Detection of cryptic vascular malformations by computerized tomography . J Neurosurg 1979;51:546-557.Crossref 6. Becker DH, Townsend JJ, Kramer RA, et al: Occult cerebrovascular malformations: A series of 18 histologically verified cases with negative angiography . Brain 1979;102:249-287.Crossref 7. Bell BA, Kendall BE, Symon L: Angiographically occult arteriovenous malformations of the brain . J Neurol Neurosurg Psychiatry 1978;41:1057-1064.Crossref 8. Bitoh S, Hasegawa H, Fujiwara M, et al: Angiographically occult vascular malformations causing intracranial hemorrhage . Surg Neurol 1982;17:35-42.Crossref 9. Britt RH, Connor WS, Enzmann DR: Occult arteriovenous malformation of the brain stem simulating multiple sclerosis . Neurology 1981;31:901-903.Crossref 10. Golden JB, Kramer RA: The angiographically occult cerebrovascular malformation: Report of three cases . J Neurosurg 1978;48:292-296.Crossref 11. Hayman LA, Fox AJ, Evans RA: Effectiveness of contrast regimens in CT detection of vascular malformations of the brain . Am J Neuroradiol 1981;2:421-425. 12. Kramer RA, Wing SD: Computed tomography of angiographically occult cerebral vascular malformations . Radiology 1977;123:649-652.Crossref 13. Leblanc R, Ethier R, Little JR: Computerized tomography findings in arteriovenous malformations of the brain . J Neurosurg 1979;51:765-776.Crossref 14. Leblanc R, Ethier R: The computerized tomographic appearance of angiographically occult arteriovenous malformations of the brain . Can J Neurol Sci 1981;8:7-13. 15. Tindall RSA, Kirkpatrick JB, Sklar F: Multiple small cavernous angiomas of the brain with increased intracranial pressure . Ann Neurol 1978;4:376-378.Crossref 16. Vacquero J, Guillermo L, Martinez R, et al: Cavernomas of the brain . Neurosurgery 1983;12:208-210.Crossref 17. Russell DS, Rubinstein LJ: Pathology of Tumors of the Nervous System , ed 4. London, Edward Arnold Ltd, 1977. 18. Zimmerman RD, Leeds NE, Naidich TP: Ring blush associated with intracerebral hematoma . Radiology 1977;122:707-711.Crossref 19. Graf CJ, Perred GE, Torner JC: Bleeding from cerebral arteriovenous malformations as part of their natural history . J Neurosurg 1983;58:331-337.Crossref 20. Mori K, Murata T, Hashimoto N, et al: Clinical analysis of arteriovenous malformations in children . Childs Brain 1980;6:13-25. 21. Paterson JH, McKissock W: A clinical survey of intracranial angiomas with special reference to their mode of progression and surgical treatment: A report of 110 cases . Brain 1956;79:233-266.Crossref 22. Wilson CB, U HS, Domongue J: Microsurgical treatment of intracranial vascular malformation . J Neurosurg 1979;51:446-454.Crossref 23. Guidetti B, Delitala A: Intracranial arteriovenous malformations: Conservative and surgical treatment . J Neurosurg 1980;53:149-152.Crossref 24. Parkinson D, Bachers G: Arteriovenous malformations: Summary of 100 consecutive supratentorial cases . J Neurosurg 1980;53:285-299.Crossref 25. Perret G, Nishioka H: Report on the cooperative study of intracranial aneurysms and subarachnoid hemorrhage: VI. Arteriovenous malformations . J Neurosurg 1966;25:467-490.Crossref 26. Conforti P: Spontaneous disappearance of cerebral arteriovenous angioma: Case report . J Neurosurg 1971;34:432-434.Crossref 27. Sartor K: Zum spontonverschluss arteriovenoser Missbildungen des Gehires . Nervenarzt 1978;49:34-37. 28. Wharen RE, Scheithauer BW, Laus ER: Thrombosed arteriovenous malformations of the brain: An important entity in the differential diagnosis of intractable focal seizure disorders . J Neurosurg 1982;57:520-526.Crossref 29. Troup M, Marthila I, Halonen V: Arteriovenous malformations of the brain: Prognosis without operation . Acta Neurochir 1970;22:125-128.Crossref

Journal

Archives of Neurology – American Medical Association

Published: Jul 1, 1984

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